03D2257269 CLIA NUMBER - STEPHEN E FRY MD, PC

Laboratory Demographics

  • CLIA Code: 03D2257269
  • Facility Name: STEPHEN E FRY MD, PC
  • Facility Address: 14807 N 73RD ST #103
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 927-8075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN E. FRY
  • NPI Number: 1205836517
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2257269
LAB Type Physician Office
Facility Name STEPHEN E FRY MD, PC
Street 14807 N 73RD ST #103
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 927-8075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director STEPHEN E. FRY

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This page was last updated on: 6/4/2025